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General NPI Number Information
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NPI Number | 1275269888
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Entity Type | Organization
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Legal Business Name | ABBACARE AT HOME CORP
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Dates
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Enumeration Date | 07/26/2022
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 3800 WATT AVE STE 201
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City | SACRAMENTO
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State | CA
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Zip | 95821-2674
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Country | US
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Telephone | 916-458-2271
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Fax |
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Provider Business Mailing Address
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Address Line | 3800 WATT AVE STE 201
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City | SACRAMENTO
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State | CA
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Zip | 95821-2674
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Country | US
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Telephone | 916-777-8800
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JOHNMER CHAN
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Credential | PT
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Telephone | 916-777-8800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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